Significant improvements have been achieved in microtia reconstruction using an autogenous costal cartilage framework.However,complications such as skin necrosis and cartilage exposure often destroy the final contour ...Significant improvements have been achieved in microtia reconstruction using an autogenous costal cartilage framework.However,complications such as skin necrosis and cartilage exposure often destroy the final contour of the reconstructed auricle.Local fascia flaps are commonly used in salvage surgery because of their reliability and satisfactory results.Here,we report the case of a 26-year-old woman with multiple skin necroses and cartilage exposure on day 21 after the first-stage microtia reconstruction.The exposure area was covered by a temporoparietal fascia flap as a single-stage procedure.The most essential subunits survived,and the esthetic concours were harmonious and natural at 12 months postoperatively.Temporoparietal fascia flaps are recommended as the surgical treatment for multiple skin necroses and cartilage exposure in microtia reconstruction.The axial-pattern temporoparietal fascia flap is reliable for salvage auricular reconstruction and ensures satisfactory results at long-term follow-up.展开更多
In this study,we prepare the specimens of three-dimensional random fibrous(3D RF)material along its through-the-thickness(TTT)and in-plane(IP)directions.The experimental tests of tensile and compressive properties as ...In this study,we prepare the specimens of three-dimensional random fibrous(3D RF)material along its through-the-thickness(TTT)and in-plane(IP)directions.The experimental tests of tensile and compressive properties as well as fracture toughness of 3D RF material are performed at elevated temperatures.Then,the porosity(83%,87%and 89%)and temperature dependence of the tensile and compressive strength,elastic modulus,fracture toughness and fracture surface energy of the 3D RF materials for both the TTT and IP directions are analyzed.From the results of the tensile strength and elastic modulus versus material porosities at various temperatures,we find that tensile strength and elastic modulus for the TTT direction are more sensitive to the porosity,but not for the IP direction.Fracture toughness increases firstly and then decreases at a certain critical temperature.Such critical temperature is found to be the lowest for the porosity of 83%.On the other hand,at below 1073 K,the temperature-dependent fracture surface energies with three porosities for the TTT direction show similar variation trends.展开更多
基金This work was supported by the National Natural Science Foundation of China(no.81974291)the Clinical Research Program of Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine(JYLJ201914).
文摘Significant improvements have been achieved in microtia reconstruction using an autogenous costal cartilage framework.However,complications such as skin necrosis and cartilage exposure often destroy the final contour of the reconstructed auricle.Local fascia flaps are commonly used in salvage surgery because of their reliability and satisfactory results.Here,we report the case of a 26-year-old woman with multiple skin necroses and cartilage exposure on day 21 after the first-stage microtia reconstruction.The exposure area was covered by a temporoparietal fascia flap as a single-stage procedure.The most essential subunits survived,and the esthetic concours were harmonious and natural at 12 months postoperatively.Temporoparietal fascia flaps are recommended as the surgical treatment for multiple skin necroses and cartilage exposure in microtia reconstruction.The axial-pattern temporoparietal fascia flap is reliable for salvage auricular reconstruction and ensures satisfactory results at long-term follow-up.
基金This work was supported by the National Natural Science Foundation of China(Grant Nos.11902046,11632014,11372238 and 11872049)the Chang Jiang Scholar Program and the 111 Project(Grant No.B18040)This work was also supported by the Fundam ental Research Funds for the Central Universities,CHD(Grant No.300102259302).
文摘In this study,we prepare the specimens of three-dimensional random fibrous(3D RF)material along its through-the-thickness(TTT)and in-plane(IP)directions.The experimental tests of tensile and compressive properties as well as fracture toughness of 3D RF material are performed at elevated temperatures.Then,the porosity(83%,87%and 89%)and temperature dependence of the tensile and compressive strength,elastic modulus,fracture toughness and fracture surface energy of the 3D RF materials for both the TTT and IP directions are analyzed.From the results of the tensile strength and elastic modulus versus material porosities at various temperatures,we find that tensile strength and elastic modulus for the TTT direction are more sensitive to the porosity,but not for the IP direction.Fracture toughness increases firstly and then decreases at a certain critical temperature.Such critical temperature is found to be the lowest for the porosity of 83%.On the other hand,at below 1073 K,the temperature-dependent fracture surface energies with three porosities for the TTT direction show similar variation trends.
